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46-58 minutes

T.R. NO. 141 dated 27th April, 1976

MUMBAI PORT TRUST EMPLOYEES

(Medical Attendance and Treatment) REGULATIONS, 1976

1. Short title, application and commencement -

(1) These regulations may be called the BOMBAY PORT

TRUST EMPLOYEES (Medical Attendance and Treatment)
REGULALTIONS, 1976.

(2) They shall apply to all employees while they are on

duty or on leave or under suspension within the city of Bombay
and its contiguous areas.

(3) They shall come into force on and from the date of
publication of Government sanction in the official gazette.

2. Definitions - In these regulations, unless the context

otherwise requires --

(1) "Board", "Chairman" and "Deputy Chairman"

shall have the meanings respectively assigned to them in the
Major Port Trusts Act, 1963;

(2) "Chief Medical Officer" and "Assistant Chief

Medical Officer" mean respectively the Chief Medical Officer
and Assistant Chief Medical Officer of the Board;

(2A) "contiguous areas" means such areas upto

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Bassein on the Western Railway and Kasara and Karjat on the
Central Railway as are contiguous to Bombay City.

(3) "dispensary" means a dispensary specified in

Appendix 'A' to these regulations;

Explanation :

(i) The list of dispensaries given in Appendix 'A' may be

altered or added to from time to time with the approval of the
Board.

(ii) The days of the week on which, and the hours during
which, each dispensary shall be open for providing medical
attendance and treatment shall be fixed by the Chief Medical
Officer from time to time. Necessary arrangements shall,
however, be made for attending to emergency cases outside the
hours so fixed at such dispensaries as may be decided by the
Chief Medical Officer.

(4) "Port Trust Hospital" means the hospital

established and maintained by the Bombay Port Trust at Wadala,
Bombay, for the treatment of its employees and their families;

Explanation :

The hours during which the various departments and services in

the Port Trust Hospital shall be open for medical attendance and
treatment shall be as fixed by the Chief Medical Officer from time
to time;

(5) "employee" means an employee of the Board

whether permanent or temporary and includes any employee on
foreign service or any permanent or temporary employee of the
Central or a State Government or a local or other authority on
deputation with the Board;

(6) "family", in relation to an employee, means -

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(i) his wife, if the employee is a male;

(ii) her husband, residing with and wholly dependent on the

employee, if the employee is a female; and

(iii) the children and step-children, residing with and wholly

dependent on the employee;

(iv) the parents residing for the time being with the employee and
wholly dependent on the employee;

Explanation :

(1) The parents shall be regarded as 'wholly dependent' on the

employee, if they are residing for the time being with the
employee and their total recurring monthly income from all
sources including sources such as, houses, landholding, etc.,
does not exceed Rs.250. (Lump sum non-recurring income, e.g.,
Contributory Provident Fund benefits, Gratuity/Commuted
Gratuity, Insurance benefits, etc., shall not be regarded as
'income' for the purposes of this clause. The declaration
regarding the income of parents shall be furnished by the
employee concerned once in the beginning of each financial
year. In cases where an employee does not furnish a declaration
about the dependency on him of his parents at the beginning of
the year, submission of a declaration at the time of seeking
medical attendance and treatment of parents may be accepted
provided that the date from which the parents are residing with
him is indicated and the Chief Medical Officer is satisfied about
the genuineness of the statement thus made. It shall be open to
the Chief Medical Officer, if he so desires in any particular case,
notwithstanding the fact that a declaration regarding the income
has already been made in the beginning of the financial year, to
require an employee to make a further declaration at the time of
seeking medical attendance and treatment of parents).

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(2) Married, widowed and divorced daughters shall not be
regarded as 'wholly dependent' on the employee under any
circumstances.

(3) Sons and unmarried daughters who are employed otherwise

than on a casual basis shall be regarded as gainfully employed
and shall not be regarded as wholly dependent on an employee.
The Chief Medical Officer may require an employee to make
declaration regarding the occupational status and residence of
sons and unmarried daughters at the time of seeking medical
attendance and treatment of sons and unmarried daughters.

(4) The term 'children' includes legally adopted children.

(5) A dependent son or daughter, who is prosecuting studies

outside Bombay and its contiguous areas, shall be regarded as
residing with an employee in Bombay and its contiguous areas, if
the son or the daughter is in Bombay or its contiguous areas at
the time of seeking medical attendance and treatment.

(6) An employee's wife, if she is herself employed in a

Department either of the Central or a State Government, or in a
Corporation/Undertaking, financed partly or wholly by the Central
or a State Government or in a local body or a private
organisation, which provides medical services to its employees,
and eligible children of such an employee, would be entitled to
choose either the facilities admissible under these regulations or
the medical facilities provided by the organisation in which she is
employed. In case she and/or the eligible children avails/avail
herself/themselves of the facilities provided for in these
regulations, the employee who claims reimbursement should
furnish a declaration that no claim is being made for the
reimbursement of the same medical expenses from any other
source. In a case where both husband and wife are Port Trust

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employees, the wife as well as eligible dependants may be
allowed to avail themselves of the medical concessions provided
for in these regulations according to his/her status.

(7) "Medical attendance" means attendance --

(i) at a dispensary, by the Medical Officer in charge of, or

attached to, that dispensary, or

(ii) if, due to the severity of illness, the patient is unable to come
personally to a dispensary, at the residence of the patient by the
Medical Officer in charge of, or attached to, a dispensary nearest
to his residence or in the case of an employee on a scale of pay
rising to over Rs.650, the Medical Officer in charge of, or
attached to, a dispensary nearest to his residence, or the
Assistant Chief Medical Officer, or

(iii) at the consulting room in the Administrative Offices Building

by the Assistant Chief Medical Officer, or the Chief Medical
Officer, as the case may be, if previously agreed to by him, or

(iv) at the Port Trust hospital (outpatient department) with

prior arrangements with the hospital, and includes -

(a) such pathological, bacteriological, radiological or other

methods of examination for the purpose of diagnosis, as are
available in any dispensary and considered necessary by the
Medical Officer in charge of, or attached to, a dispensary, or by
the Assistant Chief Medical Officer, or the Chief Medical Officer,
as the case may be; and

(b) such consultation with a Specialist in the Port

Trust hospital as the Medical Officer, Assistant Chief Medical
Officer, as the case may be, may consider necessary to such
extent and in such manner as the Specialist in the Port Trust
hospital, may, in consultation with the Medical Officer, Assistant

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Chief Medical Officer, Chief Medical Officer, as the case may be,
may determine or in the absence of the required Specialist in the
Port Trust hospital, such consultation with a private Specialist, as
the Chief Medical Officer may certify to be necessary, to such
extent and in such manner as the private Specialist may, in
consultation with the Chief Medical Officer, determine;

(8) "patient" means an employee or a member of his family to

whom these regulations apply and who has fallen ill;

(9) "treatment" means the use of all medical and surgical

facilities available at a dispensary, or the consulting room
maintained in the Administrative Offices Building, or the hospital,
as the case may be, in which the patient is treated and (a)
includes --

(i) the employment of such pathological, bacteriological,

radiological or any other methods as are considered necessary
by the Medical Officer attached to the dispensary, the Assistant
Chief Medical Officer, the Chief Medical Officer or the doctors
attached to the Port Trust hospital, as the case may be;

(ii) the supply of such medicines, vaccines, sera or other

therapeutic substances as are ordinarily available at a dispensary
or the Port Trust hospital but excluding --

(a) such preparations which are not medicines but

are primarily used as food, tonic, toilet or disinfectant, and

(b) such expensive drugs, tonics, laxatives and

other elegant and proprietary preparations (for which drugs of
equal therapeutic value are available), as may be laid down from
time to time by the Chief Medical Officer.

(iii) the supply of such medicines, vaccines, sera or other

therapeutic substances not ordinarily so available as the Medical

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Officer attached to a dispensary, the Assistant Chief Medical
Officer, Chief Medical Officer, or the doctors attached to the
hospital, as the case may be, may certify in writing to be
essential for the recovery, or for the prevention of serious
deterioration in the condition of the patient;

(iv) such prosthetic aids as the Chief Medical Officer may

certify in writing to be essential for the making up of a serious
bodily defect or deficiency in a patient;

(v) such accommodation as is ordinarily provided in the

hospital and is suited to his status. If accommodation suited to
his status is not available, accommodation of a higher class may
be allotted provided it can be certified by the Chief Medical
Officer if the patient is treated in the Port Trust Hospital, or by the
Medical Superintendent of the hospital concerned, if the patients
is treated in any other hospital --

(1) that accommodation of the appropriate class

was not available at the time of admission of the patient, and

(2) that the admission of the patient into the

hospital could not be delayed without danger to his health until
accommodation of the appropriate class became available;

(vi) such nursing as is ordinarily provided to an in-patient

by the Port Trust Hospital or if the patient is treated at any other
hospital, such nursing as is ordinarily provided to an in-patient by
such hospital;

(vii) such special nursing as the Chief Medical Officer

may certify in writing to be essential for the recovery or for the
prevention of serious deterioration in the condition of the patient,
having regard to the nature of the disease;

(viii) such diet as is ordinarily provided in the hospital subject in

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respect of employees in receipt of a monthly pay exceeding
Rs.220, to the recovery of diet charges at such rates as may be
fixed by the Board from time to time;

(ix) the specialist consultation described in sub-clause (b)

of clause (7);

(x) confinement of a female patient in the Port Trust

hospital;

(xi) the pre-natal and post-natal treatment received by a

female patient before and after child birth for physiological or
other disability attributable to child bearing or child birth;

(xii) dental treatment, subject, when the treatment is

obtained on the advice of a Medical Officer attached to a
dispensary, the Assistant Chief Medical Officer, Senior Dental
Surgeon or Chief Medical Officer, as the case may be, from the
Government Dental College, Bombay, to the regulations made in
that behalf by the Board;

(xiii) anti-rabic treatment;

(xiv) blood transfusion service; and

(xv) provision of ambulance service, whenever

necessary, for the transport of a patient to the hospital;

(b) but does not include --

(i) cost of eye glasses, if any, purchased

by a patient, as part of the treatment;

(ii) taxi, hack victoria or other conveyance

charges incurred to convey a patient from his residence to a
hospital or vice versa, except as provided in sub-clause (xv) of
clause (a); and

(iii) special articles of diet not ordinarily

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provided by a hospital to its in-patients.

3. Medical attendance and treatment on employees --

(1) An employee shall be entitled free of charge to medical

attendance and treatment at a dispensary by the Medical Officer
in charge of, or attached to, that dispensary and, if so
recommended by the Medical Officer, to medical attendance and
treatment at the consulting room in the Administrative Offices
Building, by the Assistant Chief Medical Officer or the Chief
Medical Officer, as the case may be.

Provided that if an employee on a pay-scale rising to over

Rs.650, so desires, he may directly seek medical attendance by
the Assistant Chief Medical Officer or the Chief Medical Officer,
as the case may be, at his consulting room in the Administrative
Offices Building.

(2) Where an employee is entitled under sub-regulation (1) to

receive medical attendance free of charge, any amount paid by
him on account of such medical attendance shall, on production
of a certificate in this behalf, in the form prescribed in Appendix
'B', by the Assistant Chief Medical Officer or the Chief Medical
Officer, be reimbursed to him.

4. Medical attendance and treatment of families of

employees -- The members of the family of an employee shall
be entitled at Port Trust cost to medical attendance and treatment
at a dispensary or the consulting room maintained in the
Administrative Offices Building on the scale and conditions
allowed to the employee himself under these regulations.

5. Medical attendance by person other than Medical Officer

in charge of, or attached to, a dispensary or the Assistant
Chief Medical Officer --

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(1) If the Medical Officer in charge of, or attached to, a
dispensary, or the Assistant Chief Medical Officer, is of the
opinion that the case of the patient is of such a serious or special
nature as to require medical attendance by some person other
than himself.

(a) he may send the patient to the Specialist, full

time or part-time, as the case may be, in the Port Trust hospital,
as provided for in clause (b) of sub-regulation (7) of regulation 2,
by whom in his opinion, medical attendance is required for the
patient; or

(b) if there is no such Specialist in the Port Trust

hospital, he may refer the patient to the Chief Medical Officer
who, after examination of the case, may refer the patient to a
private Specialist, as provided for in clause (b) of sub-regulation
(7) of regulation 2, by whom, in his opinion medical attendance is
required for the patient; or

(c) in cases covered by (a) or (b) if the patient is

too ill to travel he may arrange with the appropriate Specialist in
the Port Trust hospital, or with the private Specialist, to whom the
patient has been referred by the Chief Medical Officer, as the
case may be, to attend the patient at the patient's residence.

(2) Where a patient receives medical attendance from a private

Specialist under clause (b) or clause (c) of sub-regulation (1), the
fees of such Specialist shall, on production of a certificate in the
form prescribed in Appendix 'C' from the Chief Medical Officer, be
reimbursed in full.

(3) (a) Where an employee is entitled, free of charge, to medical

attendance and treatment from a Specialist in the Port Trust
Hospital under sub-regulation (1), any amount paid by him on
account of such medical attendance shall, on production of a

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certificate, in the form prescribed in Appendix 'B' by the Chief
Medical Officer or the Assistant Chief Medical Officer, be
reimbursed to him.

(b) Where a member of an employee's family is entitled to

medical attendance and treatment from a Specialist in the Port
Trust hospital under sub-regulation (1), any amount paid by the
employee on account of such medical attendance shall, on
production of a certificate, in the form prescribed in Appendix 'B',
be reimbursed to him.

6. Medical treatment at hospital --

(1) An employee shall be entitled to medical attendance and

treatment free of charge

(a) at the Port Trust hospital; or

(b) If in the opinion of the Chief Medical Officer, the Port Trust
hospital cannot provide the necessary and suitable facilities, at
such Government or Municipal hospital in Bombay or its
contiguous areas, at or near the place where the employee falls
ill as can in the opinion of the Chief Medical Officer, provide the
necessary and suitable facilities, or

(c) where in any exceptional case, the Chief Medical Officer is of

the opinion that the necessary, and suitable treatment is available
only in a private hospital or nursing home in Bombay at such
private hospital or nursing home.

Note :--

(1) The facilities in a Government or Municipal

hospital in Bombay do not include admission to a nursing home
attached to that hospital. If in the opinion of the Chief Medical
Officer it is necessary for a patient to be admitted to a nursing
home attached to a Government or Municipal hospital in Bombay,

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he may send the patient to such nursing home, but in such a
case, the expenditure on the cost of the treatment shall be borne
by the Board and the employee in the ratio of two to one.

(2) In according his approval to an employee

undergoing treatment at a Government, Municipal or private
hospital in which different classes of accommodation are
provided the Chief Medical Officer shall indicate the particular
class to which the employee should seek admission.

(2) Where an employee is entitled under sub-regulation (1) to

medical attendance and treatment in the Port Trust hospital or in
a Government or a Municipal hospital or in a private hospital or
nursing home any amount paid by him on account of such
treatment shall, on a claim being preferred in the form prescribed
in Appendix 'D' and the Chief Medical Officer furnishing a
certificate as to its admissibility, be reimbursed to him.

Provided that in the case of an employee in receipt of

monthly pay exceeding Rs.220 undergoing treatment in the Port
Trust Hospital, diet charges are recovered at such rates as may
be fixed by the Board from time to time under clause (viii) of sub-
regulation (9) of regulation 2.

Provided further that the liability of the Port Trust to

reimburse an employee undergoing treatment in a Government
or Municipal hospital under sub-cause (b) of sub-regulation (1) or
in a private hospital or nursing home under sub-clause (c) of sub-
regulation (1) will not include special nursing, tonics, restoratives
and unless he is an employee who would have been eligible for
free diet, had he undergone the treatment at the Port Trust
hospital, also diet.

Provided also that in the case of an employee undergoing

treatment in a private hospital or nursing home, the cost of

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treatment including the fees of Specialist, if any, who is
consulted, and if any operation has been performed on the
employee, the fees of the Surgeon and Anaesthetist, who
performed the operation, together with the incidental expenses
and charges levied for the use of the operation theatre shall be
borne by the Port Trust and in the case of an employee
undergoing treatment in a nursing home attached to a
Government or Municipal hospital in Bombay, such cost shall be
borne by the Board and the employee in the ratio of two to one.

Note :

(1) The maximum charges which should be taken into

account as the basis for reimbursement in respect of each class
of surgical operation performed in a private hospital or nursing
home or a nursing home attached to a Government or Municipal
hospital shall be as set out in Appendix 'E'. The Chairman may
on the recommendation of the Chief Medical Officer revise from
time to time the maximum charges to be taken into account as
the basis of reimbursement, but any reduction in such charges
shall not be made without the approval of the Board.

(2) In the case of reimbursement of medical expenses

incurred by an employee on hospitalisation for himself in a
private hospital or nursing home or a nursing home attached to a
Government or Municipal hospital, the tariff of which indicates a
flat inclusive charge per diem the diet charges will be reckoned
as follows :-

(a) where the flat charge made by the hospital includes (i) diet,
(ii) accommodation, (iii) ordinary nursing and (iv) medical and
surgical services, 20% of the flat charge will be reckoned as diet
charges;

(b) where the flat charge made by the hospital

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includes (i) diet, (ii) accommodation, (iii) ordinary nursing only
but not (iv) viz. charges for medical and surgical services, 50% of
the flat charge will be reckoned as diet charges.

(3) The members of the family of an employee shall be

entitled at Port Trust cost to medical attendance and treatment in
the Port Trust hospital or in a Government or Municipal hospital
in Bombay its contiguous areas or a private hospital or nursing
home in Bombay and its contiguous areas on the scale and
conditions allowed to the employee himself under these
regulations.

7. Treatment at residence :

(1) If an ailing employee or an ailing member of his family

requests the Medical Officer in charge of, or attached to a
dispensary nearest to his residence or if the employee is on a
scale of pay rising to over Rs.650, the Assistant Chief Medical
Officer, to attend on him at his residence and the Medical Officer,
or the Assistant Chief Medical Officer, as the case may be, is
satisfied that owing to the severity of the illness or other causes
considered adequate by him the employee or the member of his
family is unable to come personally for treatment at a dispensary,
as provided in regulation 3, the employee or the member of his
family may receive treatment at his residence at the hands of the
Medical Officer or the Assistant Chief Medical Officer, as the case
may be on the same scale and conditions as he would have been
entitled to had he been treated at a dispensary.

Provided that the right of calling to his residence a

Medical Officer or the Assistant Chief Medical Officer, as the case
may be shall not be available to an employee, or a member of
the family of an employee, living beyond Jogeshwari or Bhandup.

8. Employees residing beyond Bhandup or Jogeshwari

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(1) An employee, residing at a place beyond Bhandup or
Jogeshwari, or a member of such an employee's family may, with
the prior approval of the Chief Medical Officer or the Assistant
Chief Medical Officer, receive treatment at the employee's
residence from a local medical practitioner if the patient is too ill
to come personally to a dispensary for the necessary medical
attendance and treatment.

(2) Where an employee or a member of his family is

receiving treatment at his residence under sub-regulation (1), he
shall be entitled to receive towards the cost incurred by him on
such treatment a sum equivalent to the full cost of such
treatment.

Provided that the Assistant Chief Medical Officer,

or the Chief Medical Officer, considers the cost of the treatment
to be reasonable.

9. Treatment in emergency -- Where an employee or a

member of his family suddenly takes seriously ill or receives a
serious injury as a result of a serious accident and his condition
does not permit of his being shifted to the Port Trust hospital
without the risk of danger to his life and he is admitted into a
Government, Municipal or private hospital nearest to the place at
which he falls ill, with the prior approval of the Chief Medical
Officer, as required under clause (b) or clause (c) of sub-
regulation (1) of regulation 6, medical expenses to the extent
otherwise admissible upto the time he is fit to be shifted to the
Port Trust hospital for the purpose of treatment may be
reimbursed, if the fact of admission and the attendance
circumstances had been brought to the Chief Medical Officer's
notice as soon after the admission into the Government,
Municipal or private hospital as possible, and if after a careful
examination of the circumstances of the case, the Chief Medical

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Officer recommends such reimbursement.

10.Special provisions for certain diseases, viz.,

Tuberculosis, Cancer, Poliomyelitis and Mental Diseases.

(1) Tuberculosis --

(i) Employees and their families shall be entitled to

receive, free of charge, treatment for tuberculosis to the extent
facilities are available at the Prince's Dock T.B. Centre and other
dispensaries.

(ii) Employees and their families shall also be entitled to

receive , free of charge, treatment for tuberculosis in any
sanatorium outside Bombay where beds have been reserved by
the Port Trust for the purpose, subject to the conditions that the
number admitted at any one time does not exceed the number of
beds reserved in the sanatorium at the Port Trust cost and in the
case of the employees on scales of pay rising to over Rs.650 and
the members of families of such employees, diet charges are
recovered.

Provided that the Chief Medical Officer certifies

that treatment in a T.B. Sanatorium is absolutely necessary.

(iii) Employees and their families may also be allowed

reimbursement, as admissible under these regulations, when on
the advice of the Chief Medical Officer, they, as a result of their
own efforts, are admitted to a tuberculosis institution in Bombay,
recognised for the purpose of treatment of Central Government
servants and their families suffering from tuberculosis, or a
tuberculosis institution in Bombay designated by the Chief
Medical Officer, subject to the Chief Medical Officer certifying that
immediate sanatorium or hospital treatment is absolutely
necessary and no reserved bed in the sanatorium where the Port
Trust has reserved beds for its employees and their families is

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available.

(2) Cancer (including Hodgkin's disease and

Leukaemia)

(i) Subject to the provisions of clauses (ii) and (iii), an employee

or a member of his family shall be eligible for consultation and,
with the prior approval of the Chief Medical Officer, receive
treatment for cancer at the Tata Memorial Hospital, Bombay.

(ii) (a) Where an employee or a member of his family

receives consultation at the Tata Memorial Hospital under clause
(i), any amount paid by the employee as the charges for such
consultation with any of the surgeons or physicians of that
Hospital shall on production of a certificate in form prescribed in
Appendix 'C', be reimbursed to him in full.

(b) Where a surgeon or physician of the Tata Memorial Hospital

who attends on an employee or a member of his family is of the
opinion that hospitalisation is absolutely necessary and the
employee or the member of his family, as the case may be,
undergoes treatment at the Hospital, the amount paid by the
employee, for the treatment of himself, or a member of his family,
as the case may be, at the hospital in the class of
accommodation which the Chief Medical Officer considers to be
appropriate shall, on a claim being preferred in the form
prescribed in Appendix 'D' and the Chief Medical Officer
furnishing a certificate as to its admissibility, be reimbursed to
him in full.

Provided that the liability of the Port Trust will not include
charges levied by the hospital for diet, unless the patient is an
employee on a scale of pay not rising to over Rs. 650/- or a
member of such an employee's family.

(3) Mental Diseases -- An employee or a member of his

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family suffering from mental diseases may on the advice of the
Chief Medical Officer receive consultation and/or treatment at the
N.M. Mental Hospital, Thana, subject to the condition that the
treatment for which reimbursement of medical expenses will be
admissible shall not exceed six months, unless the Medical
Superintendent of the Hospital certifies that treatment for a
reasonable period, upto one year, beyond the initial six months'
limit, is likely to lead to complete recovery of the patient. Further
notwithstanding the provisions of clause (viii) of sub-regulations
(9) of regulation 2, the reimbursement of diet charges in the case
of patients suffering from mental diseases and undergoing
treatment in the N.M. Mental Hospital as in-patients will be
allowed in full, if the employee is on a scale of pay not rising to
over Rs.650 per month. In the case of employees on scales of
pay rising to over Rs.650 per month, 20% of the hospitalisation
charges will be reckoned as diet charges and will not be
reimbursed.

(4) Poliomyelitis -- An employee, or a member of his

family, suffering from poliomyelitis may, receive treatment at any
of the hospitals in Bombay providing such treatment and
recognised by the Central Government for the purposes of
treatment of their employees, or member of the families of such
employees, subject to the condition that such treatment is
recommended by the Chief Medical Officer. Any amount paid by
an employee for the treatment at such a hospital either of
himself, or of a member of his family, shall, on a claim being
preferred in the form prescribed in Appendix 'D' and the Chief
Medical Officer furnishing a certificate as to its admissibility be
reimbursed to him, provided that the liability of the Port Trust will
not include charges levied by the hospital for diet, unless the
patient is an employee on a scale of pay not rising to over Rs.650

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or a member of such an employee's family who would have been
eligible for free diet, had he undergone treatment at the Port
Trust Hospital.

11. Treatment of infectious diseases --

An employee or a member of his family suffering from an

infectious disease may receive treatment at a Government or
Municipal infectious diseases hospital, or in isolation wards of
such a hospital, in Bombay or its contiguous areas. Any charges
which may ordinarily be levied by such hospital for such
treatment and paid by the employee, in respect of himself or a
member of his family, may, on production of the necessary
certificate from the Medical Superintendent of the Hospital, be
reimbursed to him in full.

Explanation : For the purpose of this regulation,

infectious disease means chicken-pox, small-pox, cholera,
diptheria, leprosy, measles, mumps, plague, scarlet fever, typhus
fever, typhoid fever, whooping cough, cerebrospinal meningitis or
such diseases as may be declared to be infectious diseases by
the State Government from time to time.

12. Special concession to family members in case of death

of employee while in service -- In the event of the death of an
employee while in service, a member of his family undergoing
treatment at any of the dispensaries or the Port Trust hospital or
at any other hospital at the time of the death of the employee
may continue to receive such treatment for a period not
exceeding three months from the date of the death of the
employee on the same scale and conditions as applicable to him
immediately before the death of the employee.

13. Charges for services not included in medical attendance

and treatment --

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(1) Charges for services rendered in connection with, but
not included in, medical attendance on, or treatment of, a patient
entitled, free of charge, to medical attendance or treatment under
these regulations shall be determined by the Chief Medical
Officer and paid by the patient.

(2) If any question arises as to whether any service is

included in medical attendance or treatment, it shall be referred
to the Chairman whose decision shall be final.

14. Mode of supplying medicines, etc. --

(1) All medicines, injectiles, vaccines, sera or other

therapeutic substances prescribed by a Medical Officer, Assistant
Chief Medical Officer, Chief Medical Officer or a Specialist shall,
if available at the dispensary at which the employee is registered
for purposes of medical attendance and treatment or the Port
Trust hospital, as the case may be, be supplied from such
dispensary or the hospital.

Provided that when any medicines, injectiles,

vaccines, sera or other therapeutic substances are not ordinarily
available at the dispensary at which the employee is registered
for purposes of medical attendance and treatment or the hospital,
as the case may be, the same shall be purchased by the
employee at his own cost and he shall subsequently be
reimbursed by the Port Trust the cost involved, subject to the
Chief Medical Officer, or the Assistant Chief Medical Officer
furnishing a certificate in the form prescribed in Appendix 'B' and
the employee producing the relative cash mema.

15. Reimbursement of hospital, etc. charges --

(1) Payment on account of fees of specialists or charges levied

by a hospital shall, in the first instance be made by the employee
to the specialist, or the hospital, as the case may be, and

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reimbursement thereof to the extent admissible under these
regulations claimed from the Port Trust in the forms prescribed
for the purpose, in Appendix 'C', or Appendix 'D' as the case may
be.

16. Time-limit for preferring claims for reimbursement --

Every claim for reimbursement of medical expenses incurred by

an employee in respect of a particular spell of illness shall be
presented within six months from the date of completion of
treatment.

Provided that any claim may be admitted after the said

period of six months, where the employee satisfies the Chief
Medical Officer that he had sufficient cause for not presenting the
claim within the said period.

17. Transfer to foreign service -- No employee shall be

transferred to foreign service unless, the foreign employer
undertakes to afford to him, so far as may be, privileges not
inferior to those which he would have enjoyed under these
regulations, if he had been employed in the service of the Board.

18. Interpretation -- If any question arises as to the

interpretation of these regulations, it shall be referred to the
Chairman whose decision thereon shall be final.

19. Power to relax -- Where the Chairman is satisfied that the

operation of any of those regulations causes undue hardship in
any particular case, he may by order, for reasons to be recorded
in writing, dispense with or relax the requirements of that
regulation to such extent and subject to such exceptions and
conditions as he may consider necessary for dealing with the
case in a just and equitable manner.

20. Repeal and savings --

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(1) On the commencement of these regulations, every rule,
regulation, resolution or order in force immediately before such
commencement shall, in so far as it provides for any of the
matters contained in these regulations, cease to operate.

(2) Notwithstanding such ceasation of operation, anything done

or any action taken under the old rule, regulation, resolution or
order shall be deemed to have been done or taken under the
corresponding provisions of these regulations.

APPENDIX 'A'

List of dispensaries

(see clause (3) of regulation 2)

1. Ballard Estate Dispensary, 2nd floor, Thackersay House,

Graham Road, Ballard Estate, Bombay 400 038.

2. Prince's Dock Dispensary, Prince's Dock Dispensary

Building, P.D'Mello Road, Bombay 400 009.

3. Dockyard Dispensary, Dholkar Street, Bombay 400 010.

4. Cotton Green Dispensary, 4/2, Zakeria Bunder Road,

Bombay 400 015.

5. Wadala Dispensary, Wadala Dispensary Building,

Reynolds Road, Bombay 400 037.

6. Antop Village Dispensary, Nadkarni Park, Antop Village,

Bombay 400 037.

Sub-Dispensaries

1. Pir Pau Dispensary, Combined Building, Pir Pau Manifold,

Chembur, Bombay 400 054.

2. Butcher Island Dispensary, Butcher Island.

3. Colaba Dispensary, B.P.T. Recreation Club Building,

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Dumayne Road, Colaba, Bombay 400 005.

APPENDIX 'B'

(See

Certificate granted to Shri/Smt

/Kum._____________________________________________

wife/son/daughter/father/mother of Shri/Smt/Kum.
___________________________________ employed as

______________________ in _____________ Section of

________________________ Department.

__________

I certify that the patient was under my treatment/the

treatment of the Medical Officer, _______________
Dispensary/the Asstt. Chief Medical Officer, and that the
medicines detailed below was prescribed by me/him/the
Specialist, Dr. ________________________ as the same were
essential for the recovery/prevention of serious deterioration in
the condition of the patient. I further certify that these medicines
are not stocked at the dispensary at which the patient is
registered for the purpose of medical attendance and treatment
or the Port Trust Hospital for supply to patients and do not
include proprietary preparations for which cheaper substitutes of
equal therapeutic value are available nor preparations which are
primarily foods, tonics, toilet preparations or disinfectants.

Names of medicines

1.

2.

3.

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4.

Date :
Signature of the Asstt.Chief Medical Officer

Chief Medical Officer.

APPENDIX 'C'

(See sub-regulation (2) of regulation 5)

_________________________________________________________

Certificate granted to Shri/Smt/Kum. ____________________

wife/son/daughter/father/mother of Shri/Smt/Kum.
___________________________________ employed as
______________________ in _____________ Section of
________________________ Department.

__________

I certify that the patient was referred to Dr.

________________ for specialist consultation by Dr.
__________________________, Medical Officer,
________________ Dispensary/Port Trust Hospital, with my
approval and that the services of the specialist Dr.
_____________________ for which an expenditure of
Rs.__________ was incurred were essential for the
recovery/prevention of serious deterioration in the condition of
the patient.

Date :
Signature of the Chief Medical Officer

APPENDIX 'D'

(See sub-regulation (2) of Regulation 6)

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_________________________________________________________

Form of application for claiming re-imbursement of

medical expenses incurred in connection with medical
attendance and/or treatment of employees and eligible members
of their families in a Government, Municipal or private hospital.

__________

N.B. : Separate form should be used for each patient.

__________

1. (i) Name and designation of employee :

(in block letters)

(ii) Whether married or unmarried :

(iii) If married, whether wife/husband is :

employed and the place where wife/

husband is employed.

_________________________________________________________

2. Section and Department in which :

employed.

_________________________________________________________

3. Pay of employee :

_________________________________________________________

4. Actual residential address :

_________________________________________________________

5. Name of patient and his/her relationship :

to the employee

N.B. : In the case of children state age also.

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_________________________________________________________

6. Place at which patient fell ill :

_________________________________________________________

7. Nature of illness and duration :

_________________________________________________________

8. Details of amount spent :

I. Medical Attendance -

(i) Fees for consultation indicating

(a) The name and designation of :

the medical officer consulted

and the hospital to which

attached;

(b) the number and dates of :

consultation and the fee paid

for each consultation;

(c) the number and dates of :

injections and the fee paid

for each injection;

(ii) Charges for pathological, :

bacteriological, radiological or

other similar tests undertaken

during diagnosis indicating -

(a) Name of the hospital or :

laboratory where the tests

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were undertaken; and

(b) Whether tests were undertaken :

on the advice of the Medical

Officer consulted. If so, a

Certificate to that effect should

be attached.

(iii) Cost of medicines purchased :

from the market.

(List of medicines and cash

mema should be attached).

_________________________________________________________

II. Hospital treatment -

Name of the hospital :

Charges for hospital treatment indicating

Separately the charges for -

(i) Accommodation --

(State whether it was according to :

the pay of the employee and in

cases where the accommodation is

higher than that admissible according

to pay, a certificate should be attached

to the effect that the entitled the

type of accommodation was not

available).

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(ii) Diet :

(iii) Surgical operation or :

medical treatment

(iv) Pathological, bacteriological radio- :

logical or other similar tests

indicating -

(a) the name of the hospital or :

laboratory at which undertaken;

(b) whether tests were undertaken :

on the advice of the Medical

Officer in charge of the case

and if so, a certificate should

be attached;

(v) Medicines :

(vi) Special medicines :

(List of medicines and cash memo

should be attached).

(vii) Ordinary nursing :

(viii) Special nursing, i.e. nurses specially :

employed for the patient. State

whether employed on the advice of

the Medical Officer in charge of the

case and if so, a certificate to that

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effect should be attached.

(ix) Ambulance charges :

(State the journey to and from

undertaken).

(x) Any other charges, e.g. charges for :

electric light, fan, air conditioning etc.

_________________________________________________________

III. Consultation with specialist -

Fees paid to a specialist other than the

Medical Officer in charge of the case,

indicating -

(a) the name and designation of the :

specialist and the hospital to which

attached;

(b) number and dates of consultations :

and the fees charged for each

consultation.

_________________________________________________________

9. Total amount spent :

_________________________________________________________

10. List of enclosures :

_________________________________________________________

Declaration

I hereby declare that the statements in the application

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are true to the best of my knowledge and belief.

Date :
Signature of employee

APPENDIX 'E'

(See Note (1) below sub-regulation (2) of Regulation 6)

_________________________________________________________

1. For the purpose of the reimbursement, under the third proviso

to sub-regulation (2) of Regulation 6, to employees of the
expenses incurred on surgical operations undergone either by
themselves or members of their families, operations will be
divided into three classes depending on the nature of the
operation, as shown below :-

(A) Minor

1. Tonsillectomy 7. Setting of fractures

2. Correction of the septum of 8. Plaster putting

the nose 9. Vasectomy

3. Simple operations on the ear 10. Phrenic Evulsion

4. Sinus puncture 11. Dilation and

Currettage

5. Aspiration of the chest (Gynaecological)

6. Bronchoscopy/Oesophagoscopy 12. Minor

amputations.

13. Operations on eye-

lids

(B) Intermediate

14. Piles 19. Appendicectomy

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15. Female Sterilization 20. Ventri-suspension

16. Removal of cataract 21. Fistula-in-ano

17. Hydrocele operations 22. Removal of fibroids

18. Hernia operations 23. Major amputations.

( C) Major

Operations on the

24. Gall bladder 31. Thoracoplasty

25. Stomach 32. Resection of the

chest

26. Kidneys, and 33. Laminectomy

27. Spinal Column 34. Hysterectomy

28. Mastoid operations 35. Splemectomy

29. Resections of the intestines 36. Bone-grafting

30. Lobectomy 37. Orthopaedic

operations for

major repairs for

locomotion

(1) The above classified list is merely illustrative and not

exhaustive.

(2) If the complexity of a case or its other attendant

circumstances so warrant, it shall be open to the Chief Medical
Officer to transfer a particular operation from one class to
another.

2. As a general rule, the maximum charges, which will be taken

into account as the basis for reimbursement in respect of each
class of operations, will be as under :

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MAXIMUM
Class of Operation Theatre Surgeon's Anaesthetist's
operation charges Fees Fees
( Rs. ) ( Rs. ) ( Rs. )
(A) Minor 30 150 30
(B)
50 300 60
Intermediate
(C) Major 75 600 120
(1) If the complexity of a case or its other attendant
circumstances so warrant, it shall be open to the Chief Medical
Officer to vary the above rates.

(2) The Surgeon's fees noted above will include the necessary
post-operative treatment and his routine visits to the patient in the
hospital or nursing home.

(3) Medicines, drugs, injectiles and blood transfusions will be

allowed extra in accordance with rules.

_______________

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